Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207PE0004X | Emergency Medical Services | 036540 | MI |
NPI | 1205879368 |
---|---|
Provider Name | Dr. John D Mccabe |
First Address | Ann Arbor, MI 48105-1002 |
Second Address | Ann Arbor, MI 48106 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/06/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1436144 | (05) | MI |
2971118 | (05) | MI |
A41689 | (02) | MI |
JM036540 | BC/BS (01) | MI |